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General NPI Number Information
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NPI Number | 1891484952
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Entity Type | Organization
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Legal Business Name | MOVE FIT PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 156 DOLSON AVE STE 11
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City | MIDDLETOWN
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State | NY
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Zip | 10940-6560
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Country | US
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Telephone | 845-360-2500
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Fax | 845-345-8201
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Provider Business Mailing Address
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Address Line | 156 DOLSON AVE STE 11
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City | MIDDLETOWN
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State | NY
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Zip | 10940-6560
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Country | US
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Telephone | 646-306-8442
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Fax | 845-345-8201
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Authorized Official
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Title or Position | OWNER
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Name | DAE HOON KIM
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Credential | DPT
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Telephone | 646-306-8442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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